Perhaps we're not overthinking it. Maybe there are complex processes that we don't yet understand.
https://en.wikipedia.org/wiki/Mithridatism https://www.ncbi.nlm.nih.gov/books/NBK349158/
Yes. And in that time period, average life expectancy was somewhere in the neighborhood of 30 years. The risk of death from neti pot use was hardly significant compared to all the other health risks anyone living at the time would be exposed to.
The same goes for skin cancer. It's a meaningful risk to us today because we can live long enough for the cumulative damage from solar radiation to be a meaningful cause of mortality.
One example of ignorance is knee-jerk, gainsaying, scientism about alternatives to Western medicine. My use of Neti was recommended by a well-trained physician, and it was very beneficial. There was indeed practical wisdom in the world before the rise of materialist rationalism.
Oh yeah... and western medicine couldn't save the lady's ass. I'm sure the bill was VERY healthy though.
Netis are part of Ayurvedic medicine in India since long before people dreamed of personal immortality.
Remember when people worked outside all summer without worrying about excess UV? Maybe we're overthinking this stuff, we Chicken Little emulators.